Individual provider Active NPI

Rajat Jindia, DMD

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1649494097
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102254 Issued in CA
Practice address
233 W Badillo St Ste B
Covina, CA 91723-1966
Phone
(860) 268-2040
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 102254 CA Primary

Addresses

Primary practice location

233 W Badillo St Ste B
Covina, CA 91723-1966

Mailing address

233 W Badillo St Ste B
Covina, CA 91723-1966
Phone (626) 332-1138

Other practice location 1

5727 Atlantic Ave
Long Beach, CA 90805-4712
Phone (562) 423-8385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000762 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224332663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102254CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PVR Dental PLLC Current Accepting new patients
Rajat Jindia DDS Inc CurrentSince Aug 25, 2024 Accepting new patients
Jindia DDS Inc CurrentSince Apr 25, 2021 Accepting new patients

Locations

233 W Badillo St
Ste B
Covina, CA 91723
Phone (626) 332-1138

5727 Atlantic Ave
Long Beach, CA 90805
Phone (562) 423-8385

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1649494097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W BADILLO ST STE B",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231966",
            "telephone_number": "626-332-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W BADILLO ST STE B",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231966",
            "telephone_number": "860-268-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5727 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908054712",
            "country_code": "US",
            "telephone_number": "562-423-8385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINDIA",
        "first_name": "RAJAT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.